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What is the diagnosis code for a stage 3 gluteal cleft pressure ulcer? Are two codes required in order to capture the correct location since the gluteal cleft appears to be between both sides of th...
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A patient presents for outpatient surgery for excision of a lesion from the left temple. The provider documents that the lesion is an inflamed inverted follicular keratosis. What is the appropriate...
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A patient had an outpatient bone dual-energy x-ray absorptiometry (DEXA) scan. The test result finding is documented as “low bone density consistent with osteopenia.” What is the diagnosis code...
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A patient with known coronary artery disease had a diagnostic heart catheterization and coronary angiogram due to persistent chest pain and rising troponins. During left heart catheterization, the ...
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A patient with a retrorectal mass presented for surgical excision. The provider documented that the mass was a tailgut cyst. Would code Q85.8, Other phakomatoses, not elsewhere classified, be appro...
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The patient is a 58-year-old with celiac artery stenosis (CAS) who underwent balloon angioplasty of the stenosis. ICD-10-CM classifies CAS to code I77.4, Celiac artery compression syndrome; however...
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An obstetric patient who delivered at Hospital A is transferred to Hospital B to accompany the infant’s transfer to the intensive care unit (NICU). At hospital B, the patient is provided maternal...
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A patient presents for debridement of a full-thickness burn to the left lower leg. The provider performs excisional debridement down to and including fascia, and then covers the wound bed with a bi...
This wound d...
A patient with end-stage renal disease and a dysfunctional right brachiocephalic fistula underwent revision of the arteriovenous fistula (AVF). At surgery, the cephalic vein outflow with brachial a...
The objectiv...
The patient is a 16-year-old who is admitted for surgical treatment of avascular necrosis (AVN) of both humeral heads, secondary to sickle cell vaso-occlusive disease. He underwent curettage and bo...
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